KELLY MARIE GRAHAM BA CDCA MSCJ NPI 1396258232

NPI Information

NPI: 1396258232
Provider Name: KELLY MARIE GRAHAM, BA, CDCA, MSCJ
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2005 ASHLAND AVE
TOLEDO, OH
ZIP 43620
Phone: (419) 841-7701
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Kelly Marie Graham, BA, CDCA, MSCJ is an addiction (substance use disorder) counselor in Toledo, OH. Kelly Marie Graham, BA, CDCA, MSCJ NPI is 1396258232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2005 ASHLAND AVE
TOLEDO, OH
ZIP 43620-703
Phone: (419) 841-7701
Fax: (419) 843-6622

The enumeration date for this NPI number is 11/14/2017 and was last updated on 11/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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